Posted by Racer on August 5, 2008, at 14:18:31
In reply to Just back from doc....questions?, posted by ricker on August 5, 2008, at 12:51:10
I'd be concerned starting that combination without your psychiatrist on board from the start. Taking two serotinergic medications at one time can result in serotonin syndrome, which is potentially life threatening. Since your GP apparently isn't familiar with nortriptyline, he wasn't well able to discuss dosing, and dosing TCAs is very different from dosing other medications.
Nortriptyline has a known therapeutic window, and blood tests should be done to check whether or not you've reached it.
Good luck.
poster:Racer
thread:844323
URL: http://www.dr-bob.org/babble/20080805/msgs/844345.html